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NPI Code Detail

MEDICARE: DR. ARLENE MARY PALAZZOLO M.D.

MEDICARE: DR. ARLENE MARY PALAZZOLO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME36805FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
298292OTHERFLPTAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295833564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARLENE MARY PALAZZOLO M.D.
Provider Business Mailing Address
First Line : 113 HARRINGTON CT
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-8986
Country : US
Telephone Number : 407-348-0990
Fax Number : 407-944-9041
Provider Business Practice Location Address
First Line : 2550 SIMPSON ROAD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-3806
Country : US
Telephone Number : 407-648-0076
Fax Number : 407-648-3666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/28/2020

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